THERESA ANN ROCKWELL Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****16

License Status

ACTIVE

Business

First Name

THERESA

Middle

ANN

Last Name

ROCKWELL

Business Name

THERESA ANN ROCKWELL

Original Issue Date

10/17/2024

Effective Date

01/21/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60617

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/21/2026